Education in the area of ​​the external genitalia. Types, characteristics and treatment

1. Lipomas

Formations on the genitals come in several varieties. The reasons, patterns, mechanisms of their occurrence in some cases are known and understandable, in others they remain not entirely clear. Different types of formations affect specific tissues. The following types of formations on the external genitalia are divided: lipoma, atheroma, bartholinitis, papilloma.

Lipomas

most often form in the subcutaneous fat layer. It is impossible to clearly identify the reasons for their occurrence, but a certain statistical connection with hereditary predisposition has been established. Moreover, the growth of lipomas has nothing to do with fat consumption or a tendency to develop subcutaneous fat deposits. The incidence of lipomas in thin and overweight people is the same. Lipomas can range in size from 1 to 15 cm and are usually not painful or itchy, presenting only a cosmetic problem. Cases of malignant degeneration of lipomas are very rare; More often, mechanical damage carries the threat of suppuration and infection. Lipomas up to 3 cm are treated non-surgically - by injecting them with a drug, the action of which leads to the resorption of the formation. Large lipomas are removed surgically: with laser, electrocoagulation or radioknife.

As a rule, a new lipoma does not appear at the site of a well-performed operation. However, it is not uncommon for new lipomas to form in nearby tissues.

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Treatment and removal methods

If the tumors do not bother the woman, it is recommended not to touch them. By the age of 30, wen goes away on its own. During this period, hormonal statuses stabilize. By the age of 40, hormone activity begins to decline. Doctors associate the disappearance of Fordyce granules with a decrease in the production of androgens and estrogens in the body.

If a cosmetic defect causes aesthetic distress, it is recommended to remove fatty papules.

What absolutely cannot be done? Squeeze out the wen yourself. It is not possible to completely remove the fat capsule. And the risk of getting a bacterial infection is huge. In addition, a hematoma forms at the site of the papule.

We recommend reading:

  1. Why do Fordyce granules appear on the nipples?
  2. How to treat gastric lipoma
  3. How to effectively treat HPV in women

What doctors offer:

  1. Lubricate the wen with Retin-A cream.

The drug is applied to the affected area 2 times a day. Under the influence of the active components of the ointment, sebaceous plugs dissolve. Users note that the first signs of improvement appear after 3–5 procedures.

  1. Treat the affected area with an alcohol solution of calendula.

A tampon soaked in tincture is applied to the affected area for 20 minutes. But ethyl alcohol dries the skin and instead of healing, you can get dry skin and extensive chemical burns of tissue.

This method is unacceptable when Fordyce granules are located on the reproductive organs, and especially on the mucous membrane of the labia. Ethyl alcohol will cause a burn to the delicate area and destroy the beneficial microflora of the genitals. What can cause an inflammatory process due to an imbalance of beneficial and opportunistic flora.

  1. Cryotherapy.

Papules are treated with liquid nitrogen. Under the influence of low temperatures, fat formation is burned out. The risk of infection and bleeding is minimal, since there is no contact with the skin during the procedure.

  1. Electrocoagulation.

High frequency currents are used to remove wen. The procedure is painful, so anesthesia is required. Although the manipulation is minimally invasive, after healing, scars may remain on the skin. Therefore, it is not recommended to use this technique to remove tumors on the lips.

  1. Laser therapy.

The procedure is similar to electrocoagulation. Instead of electric current, a laser beam is used. After exposure to light quanta, a crust forms on the mucous membrane. In a few days it will disappear. There will be clean, healthy skin underneath.

Classical surgery is not used in the treatment of Fordyce papules. The procedure is invasive and there is a risk of bleeding and scar tissue at the site of the cyst.

All treatments are temporary measures. In 85% of cases, a relapse of the disease develops within 1–2 years after removal of the sebaceous cysts.

  1. Treatment with Darsonval apparatus.

This is more of a physiotherapeutic procedure than a method of treating neoplasms. Under the influence of weak alternating current pulses, microcirculation in skin tissues improves and sebum production decreases. To obtain a sustainable effect, a minimum of 10 procedures will be required.

The use of this treatment method for papules located on the labia should be discussed with a gynecologist. In addition, darsonvalization has a number of contraindications, such as pathologies of the thyroid gland, rosacea, and the presence of heart rate stimulants in the body.

2.Atheromas

Atheroma

is a cyst filled with a yellowish fluid formed by fat cells, epidermis and sebum. Since all this in the cyst is in a state of stagnation, when opened, the substance that is usually removed has an unpleasant odor. Causes of atheroma: increased oily skin, acne, poor cleanliness, hormonal changes, heredity. Atheromas form where there are many sebaceous and sweat glands. When they grow to a size of 5 cm, tension occurs on the surface of the skin and even internal inflammation is possible. It is always recommended to remove atheromas without waiting for complications, although they also degenerate extremely rarely.

The atheroma is completely removed by isolating it from the tissue. At the same time, they try not to disrupt its integrity and make sure that no particles of the cyst shell remain, otherwise this may cause a relapse in the same place.

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3.Bartholinitis

Bartholinitis

- This is a consequence of blockage of the Bartholin gland. It is located at the entrance to the vagina and is involved in lubrication (moistening) of the external genitalia. During moments of sexual arousal, this process is especially intense. When a blockage of the gland duct occurs, a cyst is formed in which the produced secretion accumulates. If therapeutic measures are not taken, infection and cyst rupture often occur. This gives relief because the cavity is freed from accumulated secretory masses. However, the consequences of such spontaneous opening against the background of an abscess can be very dangerous. You should definitely consult a doctor at the first sign of a lump at the entrance to the vagina. If treatment is not carried out or the cyst does not open spontaneously, general malaise begins: the temperature rises, pain is felt when walking, and signs of acute infection appear. In the most difficult cases, the abscess can spread to the internal genital organs: the uterus, appendages.

Treatment of bartholinitis in uncomplicated cases by opening the cyst is not difficult. The operation is performed on an outpatient basis under local anesthesia. In more severe cases or when a postoperative relapse is established, a decision is made on bartholinectomy (complete removal of the Bartholin gland). This is a rather complicated operation, but in some cases it cannot be avoided.

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Leading specialists in the treatment of bartholinitis in the Southern Federal District

Ermolaeva Elvira Kadirovna is a well-known and recognized specialist in the treatment of bartholinitis in the North Caucasus. She is a gynecologist, ultrasound doctor, physiotherapist-resortologist. Women who want to improve the aesthetics of the genital organs, reduce the size of the vagina and refresh intimate relationships from all regions of Russia and foreign countries turn to Elvira Kadirovna .

Ermolaev Oleg Yurievich Candidate of Medical Sciences, operating gynecologist with 25 years of successful experience in treating bartholinitis. Able to see relationships that elude others.

Shchepkin Petr Sergeevich Gynecologist, specialist in the treatment of bartholinitis and marsupalization of the Bartholin gland. Experienced ultrasound doctor.

About the doctors of the Clinic in detail...

INTERNATIONAL RECOGNITION of the reputation and achievements of the Women's Health Resort Clinic in the development and implementation of effective and safe treatment methods and the quality of medical services provided is the AWARDING of the Women's Health Resort Clinic in Pyatigorsk with the SIQS International QUALITY CERTIFICATE in the field of medicine and healthcare. International Socratic Committee, Oxford, UK and Swiss Institute for Quality Standards, Zurich, SWITZERLAND.

We work seven days a week and on holidays:

Monday - Friday from 8.00 to 20.00, Saturday, Sunday, holidays from 8.00 to 17.00.

Treatment of bartholinitis, opening of the Bartholin gland and marsupalization of the Bartholin gland by appointment by multi-line phone 8 (800) 500-52-74 (free call within Russia), or +7 (for foreign calls).

The cost of opening the Bartholin gland WITHOUT PAIN is 4250 rubles.

ONLINE information about the treatment of bartholinitis can be found at: [email protected]

REGISTER ONLINE for the treatment of bartholinitis here.

REGISTER online for marsupalization of the Bartholin gland here.

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If there is severe bursting and throbbing pain in the labia majora, high body temperature (more than 38°C) and/or poor health, we accept without a prior appointment outside the queue.

Treatment of bartholinitis with the help of phytotherapeutic and physiotherapeutic agents allows one to achieve a complete cure and prevent the transition to a chronic form and the formation of an abscess (pseudo-abcess) and a cyst of the Bartholin gland.

With respect for the religion and different habits of our Patients, we achieve high efficiency and comfort of treatment.

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After spontaneous opening of a pseudoabscess of the Bartholin gland, the outpouring of purulent contents, as a rule, does not occur completely.

The pyogenic (pyogenic) capsule is preserved. And after gluing and scarring of the fistula tract, the process begins to mature again.

Spontaneous opening of a Bartholin gland pseudoabscess leads to the formation of a rough scar.

The only consolation for this is the thought of limited access for contemplation...

The cost of opening the Bartholin gland WITHOUT PAIN is 4250 rubles.

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4. Papillomas

Papillomas

external genitalia - this is the growth of the epidermis of the labia. By their appearance, papillomas are easily differentiated from other formations. They are usually located on a stalk, resembling the shape of a mushroom. Unlike other uncomplicated formations, papillomas may itch or hurt; They are often injured. The reason for their appearance is HPV, the human papillomavirus, which is activated under favorable conditions (decreased immunity, stress, hormonal changes). HPV infection occurs through sexual contact or from the mother at birth. The latent period of this virus (without any formations on the skin) can last indefinitely. The actual growth of the epidermis on the genitals can be provoked by a number of factors, mainly associated with a decrease or depletion of the body's protective resources.

Papillomas are always treated comprehensively: formations on the skin are surgically removed, and the human papillomavirus itself is subjected to systemic therapy aimed at increasing immunity, restoring hormonal balance and balanced metabolism.

It is necessary to treat papillomas. Not only can they grow to large sizes, but they also carry the risk of infecting a sexual partner.

Causes of occurrence on the labia

Medicine does not name the exact reason for the appearance of Fordyce granules. These growths are sebaceous cysts. The favorite location is the corners of the mouth, the genital area in women and men, sometimes on the mucous membrane of the oral cavity.

Science knows that Fordyce granules:

  • are not a skin disease;
  • are not transmitted either sexually or by any other means;
  • do not become inflamed;
  • do not fester;
  • don't itch;
  • no changes occur in the epithelial tissues. The skin works normally, biological mechanisms are not affected.

Such neoplasms appear during puberty during sudden hormonal changes in the body. In the area of ​​the lips, labia minora, directly under the upper layer of the epidermis, there are many sebaceous ducts. This location is determined genetically. Therefore, it makes sense to consider this a congenital cosmetic defect that does not appear immediately.

What can affect the development of sebaceous cysts? Doctors identify a number of provoking factors:

  • injury to the sebaceous glands;
  • hormonal imbalance;
  • bad habits have some influence;
  • ignoring personal hygiene requirements.
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